IndividualActive
Ayesha Fatima
NPI 1538964465 · Physician Assistant · Addison, IL
Provider details
- NPI number
- 1538964465
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 085011745 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
714 N Tamarac Blvd
Addison, IL 60101-1694
Phone: (773) 563-5572
Approximate (ZIP-level) locationGet directions
Mailing address
714 N Tamarac Blvd
Addison, IL 60101-1694
Additional practice locations (1)
- 779 W Adams StChicago, IL 60661-3509Phone: (708) 231-8908
Registry dates
- Enumerated
- 2025-02-14
- Last updated
- 2025-12-30
- Certified
- 2025-12-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.